Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
in blood flow caused ... tamponade, or tension ... Depends on the cause ... Tamponade: pericardial ... #criticalcare #diagnosis
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... Obstructive: β€’ Cardiac ... tamponade β€’ Tension ... #Differential #Diagnosis ... #causes
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... good enough at diagnosing ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade
β–Ί
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Diagnostic ... tamponade recurs ... #Tamponade #Anesthesiology ... Intraoperative #Checklist
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
Cardiac Tamponade ... on Echocardiogram ... Clinical diagnosis ... of shock was not ... #clinical #echocardiogram
β–Ί
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... tamponade, Vascular ... findings based on cause ... uw_IMresidency #Shock
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... tamponade β†’ 3-9 ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Hypothermia Tamponade ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
) or septic shock ... Consider monitoring cardiac ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management